Talent.com
New York Licensed Clinical Review Nurse

New York Licensed Clinical Review Nurse

VirtualVocationsTampa, Florida, United States
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Clinical Review Nurse - Prior Authorization.

Key Responsibilities

Analyze prior authorization requests to determine medical necessity and appropriate level of care

Coordinate with healthcare providers and interdepartmental teams to ensure timely review and authorization of services

Document and maintain member's clinical information in health management systems for compliance with regulatory guidelines

Required Qualifications, Training, and Education

Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing

2 - 4 years of related experience preferred

Licensed Practical Nurse (LPN) State Licensure required; Registered Nurse (RN) State Licensure preferred

Clinical knowledge and ability to analyze authorization requests preferred

Knowledge of Medicare and Medicaid regulations and utilization management processes preferred

serp_jobs.job_alerts.create_a_job

Clinical Review Nurse • Tampa, Florida, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Travel Nurse RN - OR - $2,206 per week in Tallahassee, FL

Travel Nurse RN - OR - $2,206 per week in Tallahassee, FL

TravelNurseSourceTampa, Florida, US
serp_jobs.job_card.full_time
TravelNurseSource is working with Atlas MedStaff to find a qualified OR RN in Tallahassee, Florida, 32308!.Atlas Medstaff is currently seeking candidates in the RN (OR) profession for a 13 week con...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Massachusetts Licensed Clinical Director

Massachusetts Licensed Clinical Director

VirtualVocationsLakeland, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Registered Nurse - Clinical Director (remote).Key Responsibilities Oversee hiring and training of Registered Nurse Assessors Conduct retrospective quality reviews of c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Utah Licensed Clinical Triage Nurse

Utah Licensed Clinical Triage Nurse

VirtualVocationsLakeland, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Labor & Delivery, Clinical Triage Nurse, Work From Home.Key Responsibilities Provide clinical triage for labor and delivery patients Assess patient needs and coordinat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Bilingual RN - Multi-State Licensed

Bilingual RN - Multi-State Licensed

VirtualVocationsLakeland, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Bilingual Registered Nurse (RN) to work from home.Key Responsibilities Provide telehealth and virtual care clinical triage assessments and health education to patients ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Travel Nurse RN - OR in Miami, FL

Travel Nurse RN - OR in Miami, FL

TravelNurseSourceTampa, Florida, US
serp_jobs.job_card.full_time
TravelNurseSource is working with Patterns LLC to find a qualified OR RN in Miami, Florida, 33114!.The Registered Nurse assumes responsibility and accountability for a group of patients for a desig...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Travel Nurse RN - OR - $1,855 to $2,055 per week in Fort Myers, FL

Travel Nurse RN - OR - $1,855 to $2,055 per week in Fort Myers, FL

TravelNurseSourceTampa, Florida, US
serp_jobs.job_card.full_time
TravelNurseSource is working with Ventura MedStaff to find a qualified OR RN in Fort Myers, Florida, 33908!.Are you ready to take your Travel career to the next level? See places you have not seen...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
North Carolina Licensed Clinical Nurse

North Carolina Licensed Clinical Nurse

VirtualVocationsLargo, Florida, United States
serp_jobs.job_card.full_time
A company is looking for an RN Clinical Nurse II - Nurse Connect.Key Responsibilities Provide clinical nursing care and coordinate patient care utilizing the nursing process Participate in patie...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Colorado Licensed Clinical Documentation Specialist RN

Colorado Licensed Clinical Documentation Specialist RN

VirtualVocationsTampa, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Documentation Specialist RN.Key Responsibilities Conducts concurrent reviews of clinical documentation in medical records to ensure compliance and accuracy for...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
California Licensed Nurse Reviewer

California Licensed Nurse Reviewer

VirtualVocationsLakeland, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Nurse Itemized Bill Reviewer (IBR Analyst).Key Responsibilities Perform in-depth reviews of medical claims using UB-04 and itemized statements Verify accuracy of itemi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
New York Licensed Clinical Review Nurse

New York Licensed Clinical Review Nurse

VirtualVocationsSaint Petersburg, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Review Nurse - Prior Authorization.Key Responsibilities Analyze prior authorization requests to determine medical necessity and appropriate level of care Coor...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Indiana Licensed Clinical Supervisor RN

Indiana Licensed Clinical Supervisor RN

VirtualVocationsTampa, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Supervisor - RN - Full-time (Remote U.Key Responsibilities Lead and oversee all Utilization Management (UM) activities, ensuring accuracy and timely completion...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Travel Nurse RN - OR - $1,857 to $2,059 per week in Fort Myers, FL

Travel Nurse RN - OR - $1,857 to $2,059 per week in Fort Myers, FL

TravelNurseSourceTampa, Florida, US
serp_jobs.job_card.full_time
TravelNurseSource is working with LRS Healthcare to find a qualified OR RN in Fort Myers, Florida, 33908!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 2...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Travel Nurse RN - OR - $2,200 to $2,350 per week in Fort Lauderdale, FL

Travel Nurse RN - OR - $2,200 to $2,350 per week in Fort Lauderdale, FL

TravelNurseSourceTampa, Florida, US
serp_jobs.job_card.full_time
TravelNurseSource is working with Job.OR RN in Fort Lauderdale, Florida, 33331!.We’re excited to share an outstanding opportunity for experienced Operating Room RNs! 🚑✨ If you’re passionate about ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Travel Nurse RN - OR - $1,653 per week in Fort Myers, FL

Travel Nurse RN - OR - $1,653 per week in Fort Myers, FL

TravelNurseSourceTampa, Florida, US
serp_jobs.job_card.full_time
TravelNurseSource is working with TRS Healthcare to find a qualified OR RN in Fort Myers, Florida, 33908!.Registered Nurse - OR - Operating Room. TRS Healthcare is seeking a Registered Nurse who is ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Iowa Licensed Clinical Review Technician

Iowa Licensed Clinical Review Technician

VirtualVocationsLargo, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Review Technician - CPhT.Key Responsibilities Conduct clinical assessments to evaluate medication therapy appropriateness as part of the prior authorization pr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Travel Nurse RN - OR - $2,261 per week in Fort Myers, FL

Travel Nurse RN - OR - $2,261 per week in Fort Myers, FL

TravelNurseSourceTampa, Florida, US
serp_jobs.job_card.full_time
TravelNurseSource is working with Cynet Health to find a qualified OR RN in Fort Myers, Florida, 33908!.Job Title : Operating Room Registered Nurse Profession : Nursing Specialty : Operating Room ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
New York Licensed Psychiatric Nurse Practitioner

New York Licensed Psychiatric Nurse Practitioner

VirtualVocationsTampa, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Psychiatric Nurse Practitioner (Per Diem).Key Responsibilities Deliver psychiatric evaluations and medication management through a telehealth platform Collaborate with...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Maryland Licensed Clinical Appeals RN

Maryland Licensed Clinical Appeals RN

VirtualVocationsLakeland, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Appeals RN to work on post-service appeals for Medicare-based claims remotely.Key Responsibilities : Review provider post-service appeals for Medicare and Retir...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Texas Licensed Clinical Review Nurse

Texas Licensed Clinical Review Nurse

VirtualVocationsLargo, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Review Nurse - Concurrent Review.Key Responsibilities Perform concurrent reviews to assess member health and appropriate level of care Review quality and cont...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Ohio Licensed Ambulatory Care RN

Ohio Licensed Ambulatory Care RN

VirtualVocationsTampa, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Registered Nurse Ambulatory Care Manager (RN) - Population Health.Key Responsibilities Provide clinical care management services to eligible patients, coordinating care...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days